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a�3-�n�-UU�U c:ity ot Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permittin -- <br /> Owner's Name U.D /!S Oli C Owner Phone Number <br /> Owner's Address J'r� � T� �� Owner Phone Number <br /> Fee Simple Titleholder Name � Owner Phone Number —� <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT� C� <br /> SUBDIVI310N � PARCEL ID* <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> MIORK PROPOSED B NEw coN57R 8 ADD/ALT [� SIGN 0 � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK d� ,� �q T !� c�� <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> �BUILDING a VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ � �� � � <br /> [�MECHANICAL a� Ct� VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY [_] OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREP Y/N <br /> Address License# �— —� <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL � � COMPANY f1.2,,5 �,C� ,pn, � L <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � �� �� �icense# L rQ/_D y3,��y� <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# � —� <br /> RESIDENTIAL Athach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Requfred onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facifltles 8 1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL AtNach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)woricing days after submittal date. Required onsite,Construction Plans,Stom►water Ptans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> '""•PROPERTY SURVEY required for all NEW constructlon. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of appflcation,notarized <br /> If over 52500,a Notice of Commencement Is required. (A/C upgrades over E7500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMI7TING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurveylFootage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />